2018 community service report - lourdes.com · health care by increasing access to health care...

HEALTHCARE THAT WORKS.

HEALTHCARE THAT IS SAFE.

HEALTHCARE THAT LEAVES NO ONE BEHIND.

2018 COMMUNITYSERVICE REPORT

169 RIVERSIDE DRIVE • BINGHAMTON, NY 13905

PHONE: 607-798-5111

WWW.LOURDES.COM

Dear Friends,

I am pleased to share this report to the community that details the services Lourdes has provided directly or in collaboration with community agencies during 2018. These services addressed the community’s health status

priorities of obesity prevention and managing associated chronic diseases, falls prevention with a focus on the elderly, and access to mental health and substance use services. In addition, Lourdes remains committed to extending access to health care by increasing access to health care coverage and prescription medications, cardiovascular disease services, and maternal/child/adolescent health services.

Lourdes is privileged to serve the healthcare needs of the community. The Daughters of Charity, our founding sponsors, arrived in Binghamton and opened the doors of the hospital in 1925. The mission of the founding Daughters to serve all persons, with special attention to those who are poor and vulnerable, has become our mission and we are committed to carrying that mission forward.

As a leading health care provider, each year we provide millions

of dollars in charity care and health education programs to our

community. We take this role seriously and work tirelessly to provide

access to quality health care services.

Beyond the physical locations of Lourdes, our associates extended

our ministry into the community by serving on community boards,

partnering with local organizations to participate in awareness events,

serving at community meals, participating in food and clothing drives

and offering free medical services to communities in need.

In 2018, Lourdes continued to be an active participant in transforming

the Medicaid health care delivery system by working with more than

150 partner organizations to better manage our community’s health.

As the healthcare needs in our region continue to grow, we remain

committed to transitioning our care model to support managing

populations of patients. Collaborating with community organizations

inspires us to explore new and innovative ways to care for our

community and our relationships make our community a stronger,

healthier place to live. We invite you to join us as we continue to

participate in furthering the healing ministry to which we’ve been

called.

MESSAGEFROM THE CEO

Kathryn ConnertonPresident/CEO

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Our Lady of Lourdes Memorial Hospitalwww.lourdes.com

PRIORITIES FORTHE YEARCY 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN

During calendar year (CY) 2018, Lourdes collaborated with community agencies under the direction of the New York State Health Department and County Health Departments to identify and address public health issues and underlying causes and contributing factors to health status and chronic disease. This report to the Community demonstrates how Lourdes has continued to work over the last year to help the Greater Binghamton community in the following community health priority areas:

• Falls Prevention with a focus on helping the elderly• Access to mental health and substance abuse services• Obesity prevention and managing associated chronic diseases with a focus on diabetes and reducing

hospitalizations due to heart failure

2018 COMMUNITY HEALTH PRIORITIES

• Obesity: Chronic Disease and Prevention & Wellness• Behavioral Health: Mental Health and Substance Use

During CY 2018, Lourdes focused on the following community health status priorities, with an emphasis on addressing the needs of the socioeconomic poor and vulnerable:

In addition to these community priorities, Lourdes remains committed to addressing community needs in the areas of access to health care by increasing access to health care coverage and prescription medications, cardiovascular disease, falls prevention, maternal/child/adolescent health and attention to the frail & elderly. Community and professional outreach and education initiatives were designed to address health priorities.

While maintaining our progress towards addressing these healthcare issues in our target areas we understand the dynamic nature of our healthcare landscape. In that respect, Lourdes is currently engaged in conducting a new community health needs assessment, to determine whether the issues stated above remain high-priority needs in the communities we serve—or if newer, more critical challenges have emerged. This work will result in an updated Community Health Improvement Plan that will guide our ongoing efforts to remove barriers to care and improve health outcomes in our population, over the next three (3) years (2019-2021).

The following chart provides an overview of some of the programs and services Lourdes offers that impact community health status. More information about these programs is available on our Website:www.Lourdes.com

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Total Charity Care

Medicare Shortfall

$32,947,391

$20,275,802

FISCAL YEAR 2018 (ENDING JUNE 30, 2018)CHARITABLE CONTRIBUTIONS

CHARITY CARE

Free Care

Bad Debt

$14,585,446

$7,142,944

Community Benefits Porgrams

Medicaid Shortfall

$18,361,945

$25,519,155

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ACCESS TO HEALTHCARE AND PRESCRIPTION MEDICATIONS

Physician Referral Services/Call Center

Prevention Counseling (Sen. Fred Akshar Grant)14,551 People Served4,671 Units of Service (A significant increase over 2017)

Tai Chi for Arthritis 500 participants (ten 8-week sessions)

PROGRAM

PROGRAM

PROGRAM

PERSONS SERVED

PERSONS SERVED

PERSONS SERVED

Facilitated Healthcare Coverage Enrollment Total screened for Health Insurance: 1,759Total enrolled in Health Insurance: 1,589Medicaid: 1,202, Qualified Health Plans: 111, Essential Health Plan: 276

BEHAVIORAL/MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES

FALLS PREVENTION WITH ATTENTION T0 THE FRAIL AND ELDERLY

Patient Financial Assistance Program 14,191 enrolled (9% increase over previous year)

Lourdes Center for Mental Health

Home Health Fall Risk Assesments

Discounted Self-Pay Accounts 13,533

Hope Dispensary: 933 persons, $463,645 valuePharmacy Assistance Program: 11,642 prescriptions covered, $2,473,449 value

1,452

Over 1,350 patients served; 16,521 visits, a 2.3% increase over 2017.More than 400 new patients reached in 2018.

23,500 screenings by social workers at 11 sites.Vestal Family Practice was pilot site forCollaborative Care Model.

Detention Alternative After School Program (DAASP)

Behavioral Health Integrated Into a Primary Care Site. Social workers support eleven (11) Lourdes primary care practices

Persons treated due to a fall• Age: 0 - 9• Age: 20-64• Age: 65+• Total

6051,2721,5333,410

77 Pediatric386 Adults age 18-651,792 Adults over age 65Total: 2,255

Pharmaceutical Access - Hope Dispensary and Pharmacy Assistance Program

Student Assistance Program (SAP) and Alcohol & Drug Education Prevention Team (ADEPT)

Mental Health Juvenile Justice Project (MHJJ) 52 Youths Served

32 Individuals Served

14,760 Individuals Served | 4,930 Units of Service (An increase from 2017)


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PALLIATIVE AND HOSPICE CARE

PROGRAM PERSONS SERVEDHospice• Volunteers

DeMarillac Prenatal Program

Christmas Families, Coat Drive, Thanksgiving Baskets and Other Services

38,239 patient days of careVolunteers dedicated over 4,658 hours anddrove over 27,000 miles to assist patients and families

MATERNAL/CHILD/ADOLESCENT HEALTH

MISSION IN ACTION (COMMUNITY OUTREACH)

OBESITY PREVENTION AND MANAGEMENT

Palliative Care

Depaul Pediatric Program

Medical Mission at Home Community Outreach

Total Community Education, Support Groups

Parents And Children Together (PACT)

1,512 patients; 18,145 visits (a 48% increase over last year)

34 Persons reached (program began last quarter of 2018)

Over 5,425 Individuals participated

285 families; 3,744 home visits

2,316 consultations and visits

3,577 visits (a 35% increase over last year)

Over 130 families served for all programs

Center for Oral Health• Clinic• Sealant Program• School Based Sites• Community Outreach and Education

Community Awareness EventsDonations raised by Lourdes associates includes basket raffle for selected community organizations, American Heart Association Heart Walk, AmericanCancer Society Relay for Life, American Cancer Society Making Strides Against Breast Cancer and the Rescue Mission.

Bariatric Services

3,923 patients; 13,864 visits215 patients; 327 visits390, 657 visits (20 sites)2,509 participants at 14 events/programs

Over $25,339 in Donations

198 surgeries2,511 nutritional consults and follow-up appointmentsOver 40 Support Groups372 physician evaluations for Bariatric Program1,520 patient contacts with nurse navigator

PROGRAM PERSONS SERVED



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OBESITY PREVENTION AND MANAGEMENT (CONTINUED)

Total: 17,584Non-Diabetic 4,152Pre-Diabetic 6,686Diabetic 6,74611,973 visits

Lourdes Primary Care Services

DISEASE SCREENING, PREVENTION AND MANAGEMENT

CancerBreast Cancer Screening (mammograms)• Lourdes facility-based service• Mobile Mammography Van

Lung Cancer ScreeningColorectal Cancer

• Body Mass Index

Total: 18,28616,0792,207

Patients Eligible for Screening: 39,930Patients Who Received Colorectal CancerScreening: 14,222 (screening rate of 35.6% of those eligible) Patients Who Received Colonoscopies: 10,874Patients Who Received Sigmoidoscopy: 2,667

65.3% children age 3-17 screened63.4% adults age 18-64 screened68.2% adults age 65+ screened

Daibetes Patient Education

Influenza Immunizations

Home Health

DiabetesDiabetic and Pre-Diabetic Screenings (A1C) inLourdes Primary Care Practices

Endocrinology

Over 2,230 Individuals Participated

11,773 doses administered

56,707 Visits

PROGRAM

PROGRAM

PERSONS SERVED

PERSONS SERVED

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COMMITMENT TOCOMMUNITY HEALTHSTATUS

Access to Health CareIncreased Health Care Coverage

HEALTHCARE COVERAGE FOR THE UNINSURED AND UNDERINSURED

Lourdes continues to make a significant impact on healthcare access and coverage for the uninsured and underinsured through our complement of Financial Counselors. All counselors are Certified Application Counselors (CAC) through the New York State of Health Marketplace. Financial Counselors are available in six locations: Emergency Department, Main Campus/Patient Financial Assistance Program (PFAP) Office, Hope Dispensary, Center for Oral Health, Lourdes Shippers Rd. facility (Vestal), and Lourdes 303 Main Street facility (Binghamton).

All Financial Counselors are able to assist individuals and families in enrollment in the Affordable Care Act (ACA) plans, such as NYS Medicaid, Child Health Plus, Essential Plans, Qualified Health Plans, and the Lourdes Patient Financial Assistance Program. The number of persons enrolled in the PFAP program continues to see unprecedented increases, in part due to the addition of prescription assistance and the 340B drug program. Enrollment at the end of 2017 was 13,018 people. Increases continued in 2018, with total enrollment at the end of the year at 14,191 people.

SERVICE TO THE POOR AND VULNERABLE

Lourdes continues to be an active participant in transforming the Medicaid health care delivery system by working with more than 150 partner organizations. As part of this work, in 2018 Lourdes received funding from Care Compass Network to:

• Integrate behavioral health into primary care• Assist patients as they transition care settings• Improve health outcomes for patients with

cardiovascular disease and chronic obstructivepulmonary disease (COPD)

• Increase the use of palliative care to manage thesymptom burden of chronic disease

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•

Help patients navigate the health system andaddress social determinants that impact their health(such as transportation)Add health coaches and navigators in the Emergency Room

• Provide video conferencing for patients withdepression

• Embed social workers at nine sites within the Primary Care Network

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Lourdes continues to address community mental health needs through annual depression screening for the adult population. The social work team follows patients through the continuum of inpatient and outpatient care. Lourdes expanded into additional primary care locations in 2018.

Lourdes is a downstream case management provider under Catholic Charities to support the health and wellness of the Medicaid population with a focus on those with a behavioral health diagnosis and/or multiple chronic diseases. Services include assistance with food, housing, clothing, insurance benefits and connection with medical and social services.

In October 2018, Medical Mission at Home began attending the community meal held at St. Michael’s Church on Clinton St. on the third Monday of the month-from October to December the medical mission served 34 people. Flu and pneumonia vaccinations, diabetes screening and assistance with health insurance and Patient Financial Assistance Program enrollment were offered to everyone attending.

Lourdes associates also collected food and gifts for families for Thanksgiving and Christmas,serving over 130 families.

INCREASED ACCESS TO PRIMARY CARE, PREVENTION AND SPECIALTY SERVICES

Lourdes continues to advance care for the patients we serve by the acquisition of two otolaryngology (ear, nose, and throat - ENT) practices along with a podiatry practice. During 2018 Lourdes recruited 27 physicians and 16 Advanced Practice Providers (APPs) in various specialties and primary care that were vacant in 2017. The care delivery system and patient access was improved by the implementation of the care team model in each of the 11 primary care practices in the Lourdes Medical Group. This care model focuses on improving patient quality by identifying gaps in care for patients and facilitating timely health screenings like colorectal, cervical, and mammography. The care team consists of a multi-disciplinary group of providers including physicians, advance practice practitioners, dietitians, social workers and nursing staff. Lourdes launched online scheduling in each of the primary care offices to improve access and convenience for their patients.

Lourdes GPS (Guiding Patients to Success) Program: Established in 2018 and is a unique, voluntary, navigational service designed to help clients with chronic illness identify and manage community resources necessary to support their healthcare needs. The service is provided at no cost. Those with chronic conditions have complex needs that are often directly impacted by social determinants such as income, education, food, clothing, housing, transportation, and insurance. Developed with grant funding provided by Care Compass Network, the GPS team includes a Community Outreach Coordinator and two Health Coaches. The team works with referred residents of Broome, Tioga, Chenango, and Delaware counties to develop personal wellness goals and link them with appropriate resources, information, and support available in the community. GPS also bridges the gaps between primary care providers, specialists, and skilled service agencies to identify the best solution to meet their healthcare needs and achieve their goals. GPS instills confidence in clients and empowers them to take an active role in their own healthcare. GPS has measured significant increases in primary care and specialist appointments, as well as significant decreases in emergency department visits and inpatient admissions for the high utilizer population.

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Lourdes Inspired Living Program: A tailored, medically-managed weight loss program that was established in 2018. The program features:

Comprehensive healthassessment and follow-upvisits by a Board-CertifiedObesity Medicinephysician.

Individualized nutritioncounseling andassessment by aregistered dietitian alongwith follow up visits.

Opportunity to meet witha health coach forindividualized activityplan.

Opportunity to meet witha behavior therapist forvaluable support.

Monthly weigh-ins for sixadditional months afterthe program is complete.

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Lourdes Center For Mental Health (LCMH): LCMH has continued to expand to address the need for mental health services in the community. The center served over 1,350 clients in 2018. LCMH has admitted more than 400 new patients this year while maintaining many long-term patients.

Integration of social workers into primary care sites continues, which has raised the awareness of patients dealing with mental health concerns. During 2018 Lourdes’ added its fourth satellite mental health clinic in the vestal office on Shipper's road. At the end of 2018 LCMH added an LPN to help focus attention on individuals who could benefit from long term injectable medication helping them be better med compliant. In 2018, LCMH has implemented Dialectic Behavioral Therapy into the clinic with fidelity to the model - the only one of its type in the area.

Lourdes social workers continue to provide inpatient and emergency department screenings for alcohol and substance abuse, as well as mental health screenings. These individuals work diligently to find both inpatient and outpatient facilities to help our patients after discharge from Lourdes.

The Lourdes Student Assistance Program (SAP): SAP is a New York State Office of Alcoholism an d Substance Abuse Services (NYSOASAS) licensed Prevention Counseling program. The primary goal of prevention counseling is to assist students in resolving personal issues before using alcohol, tobacco, and/or other drugs become coping mechanisms. In 2017, services were expanded to serve 5 additional local schools through a grant obtained by Sen. Fred Akshar to increase prevention counseling in schools within his district. The SAP program served 5,299 student clients in 9 local schools in 2018.

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Alcohol and Drug Education Prevention Team (ADEPT): A NYS OASAS certified Education and Training Provider. ADEPT is a proactive approach and research-based process that focuses on increasing protective factors and decreasing risk factors that are associated with drug and alcohol abuse in individuals, families and communities.

The goal of ADEPT’s prevention education is to delay the onset of drug and alcohol use in adolescents. In 2017, ADEPT served 2,054 students, Lourdes associates, and local community members on topics including current drug trends, adolescent brain development, heroin and prescription drugs, gambling, and opioid overdose prevention.

The ADEPT program regularly hosts naloxone trainings, which are free overdose prevention trainings that are open to anyone in the community; the Southern Tier AIDS Program (STAP) provided the training and the naloxone kits to 105 participants in 2018.

Mission in Motion Mobile Mammography Van: The mobile mammography van provides services at 64 locations throughout Broome, Chenango, Cortland, Delaware and Tioga counties, along with Barnes Kasson Hospital in Susquehanna, Pa.

This year services were extended through collaboration with community health providers creating local access to mammography screening services. A focus on reaching into rural populations where transportation is not readily available continues to be a priority.

Lourdes Palliative Care Services: Lourdes provides the area's only palliative care services through an inpatient consultative team and an outpatient clinic.

Lourdes Hospice Care: Lourdes continues to provide end of life care to patients of all ages, including pediatrics, allowing people to live comfortably, and make memories with their families in the time that they have left. Lourdes is the only hospice provider for Broome and Tioga county residents, providing over 20,000 visits, serving over 870 unique patients, with ages ranging from three months to 108 years old in 2018. In addition, Lourdes Hospice organizes Camp Hope for Kids to help children learn to cope with the loss of a loved one. It is a three-day camp held at Camp Sertoma in Kirkwood.

Lourdes at Home (LAH): LAH provided over 56,000 visits to persons across Broome, Tioga, Chenango, and Delaware Counties in 2018. Lourdes at Home is the only certified home health agency in these areas to provide services to pediatric patients, from infancy throughout childhood. Adults and children can receive nursing, physical therapy, occupational therapy, respiratory therapy, speech therapy, social work, and personal care services as necessary with a physician's order.

Lourdes Center for Pain and Wellness (P&W): P&W at Lourdes offers a resource for patients who are frustrated with their pain or pain medication. Comprehensive, patient-centered care addressing physical wellness, as well as emotional and spiritual wellbeing is provided. Services include massage therapy, chiropractic care and minimally-invasive therapeutic interventions. The following is a summary of the total number of visits for each P&W service:

Chiropractic Visits - Massage Therapy Visits - Sauna Visits - Acupuncture Services -

3,4601,034324Added in 2018

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Lourdes Youth Services: Youth Services provided services and resources to at-risk adolescents through three programs in 2018:

Lourdes Mental Health Juvenile Justice Project (MHJJ): This program worked to successfully to keep 100%of the youth served out of detention and out of home placement. This was accomplished by providing intensive counseling and case-management as well as providing life skills enhancement groups for participants.

The Lourdes Detention Alternative After School Program (DAASP): DAASP provided services to 30 high-risk youth during 2018. Of these youth, 100% were successfully kept out of non-secure detention facilities. The DAASP program received additional funding from the New York State Office of Children and Family Services (OCFS) to expand programming, adding a family component to encourage continued success in keeping youth out of detention facilities.

INCREASED ACCESS TO BEHAVIORAL & MENTAL HEALTH, SUBSTANCE ABUSE, AND MATERNAL, CHILD AND ADOLESCENT HEALTH

YES Safe Choices: A unique youth leadership program, sponsored by Senator Fred Akshar and Lourdes, which is focused on drug and alcohol prevention. Through youth leadership training, like YES LEADS, students learn about the dangers of drug and alcohol abuse.

In 2018, 628 YES LEADers from 17 middle and high schools throughout Broome, Tioga, Chenango and Delaware counties presented in classrooms to over 4,600 students on the dangers of drugs and alcohol, bullying, and the importance of making safe choices.

In addition, these groups held various community outreach events in their districts, including free family movie nights, clothing and food drives, and fun nights for kids. YES Safe Choices also puts on community outreach events that encourage families to spend time together in a safe, drug-free setting. In 2018, YES hosted Super Splash Day at the Binghamton Rumble Ponies. Approximately 4,500 parents and children attended this free event.

Lourdes Women’s and Children’s Services Department: in support of a healthy start for newborns, encourages patients to breastfeed their newborns, as evidenced by an 81% breastfeeding initiation rate. Lourdes participated in the New York State Breastfeeding Quality in Hospitals Collaborative ensuring that the care provided is in keeping with The Baby-Friendly USA “Ten Steps to Successful Breastfeeding” practices as much as possible.

Lourdes staff participated in Baby Friendly breastfeeding training which has become a requirement for all new Women’s & Children’s Services associates regardless of position. Lourdes has become a designated milk depot for the New York Milk Bank located in the Hudson Valley of NY.

Donors approved through the New York Milk Bank can drop off their milk at Lourdes and it will be safely stored and sent on to the New York Milk Bank for processing. Human milk is distributed to NICUs across the State for the most fragile infants by the New York Milk Bank. Lourdes employs two International Board Certified Lactation Consultants who provide in house breastfeeding care and support as well as provide outpatient care for more focused and complex issues.

Lourdes works to promote healthy births in the community at DeMarillac Maternity Program through clinical expertise, education, support, financial assistance and compassionate care.

Lourdes DePaul Pediatrics was established to meet the health needs of children. Lourdes’ emphasis is in education, preventive care and promoting good health. In addition to providers, the clinical staff includes experienced pediatric nurses and a full time social worker.

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Medical Academy of Science and Health (M.A.S.H.): 25 middle-schoolers from Broome and Tioga counties participated in M.A.S.H. Camp at Lourdes in 2018. The goal of M.A.S.H. Camp is to promote health professions to young people before they begin selecting high school course work and setting goals for their future careers. The two-day camp is co-sponsored by Lourdes Hospital, the Central New York Area Health Education Center (CNYAHEC), and Excellus BlueCross BlueShield. Participating students made compounds in the pharmacy, used the DaVinci surgical robot to learn about surgery, spoke to two pilots while getting a first-hand view of a Life Net Helicopter and participated in activities to learn about diagnostic imaging, radiology, respiratory therapy, and more.

INCREASED ACCESS TO PRESCRIPTION MEDICATIONS

In 2016 Lourdes was approved to participate in a federal drug discount program called 340B which helps hospitals, like Lourdes, to serve rural communities and treat our most economically vulnerable citizens. Under the program, eligible hospitals receive pharmaceuticals at discounted prices from drug companies. The hospitals, in turn, use the savings incurred for community benefit. At Lourdes, savings from the 340B program helped us support the Lourdes Patient Financial Assistance Program, provide discounted and sometimes free medications for those in need, and fund services such as primary care, diabetes, heart and cancer care.

Lourdes continued to increase Pharmaceutical Access in the community through the Dispensary of Hope of the Southern Tier. Together with Pharmacy Assistance Programs, Lourdes filled 117,388 prescriptions which resulted in over $3,083,754 in free pharmaceuticals provided to the community through these two programs, continuing to provide a critical resource to those most in need in our communities.

INCREASED ACCESS TO DISEASE SCREENING, PREVENTION AND MANAGEMENT

Cardiovascular Disease Awareness and Prevention: Community nurse navigators are being integrated into the Lourdes Primary Care practices to promote cardiovascular health through patient engagement during their primary care visit and follow up phone calls.

Education includes:

Ways to reduce the risk ofcardiovascular disease.

Early identification of cardiovasculardisease for those who may be at risk fordisease.

Management of the symptomsassociated with cardiovascular diseasein order to optimize a person’s healthand wellness.

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Coordinated Outreach Achieving Community Health (COACH): This program targets heart failure and COPD, and consists of multidisciplinary teams that span the healthcare continuum to improve the coordination of care for patients battling these diseases. COACH provides services to patients in the acute care settings, in homes, in primary care and specialty practices. The focus of the program is engagement of persons and their caregivers in the management of their chronic disease. The programs have had success in reducing the readmission rate for these patients. Community partner collaborations are being developed to promote ongoing wellness in the community.

Obesity Prevention

Obesity prevention and the treatment of associated chronic diseases such as diabetes and cardiovascular disease is provided throughout the Lourdes system, including primary care, endocrinology, the Diabetes Center, and the bariatric surgery program.

Diabetes Education: Lourdes hosted a "Current Trends" Teaching Day, a seminar offered to primary care Physicians as an opportunity for them to earn CME credits while learning emerging trends and best practices within the field of chronic disease prevention and research. The educational event had 29 doctors in attendance and focused on diabetes, including: the link between diabetes and microbiomes, lab tests to diagnose diabetes, side effects of various medications, resources for diabetic patients, and lifestyle changes for pre-diabetics.

Lourdes continues to offer yearly diabetes education fairs so that staff and community members can better familiarize themselves with the latest in diabetes technology, medications, blood glucose testing, insulin delivery and more. On average, 150-200 community members attend these events each year.

Lourdes’ All Spice Café: A " FIT" meal is available daily, meeting guidelines for a heart-healthy diet. The Action Station offers meals made-to-order using a variety of fresh ingredients. The cafe promotes a Superfood of the Month, which features a different food each month with an inviting display accompanied by food samplings in the cafeteria. In addition, the vending machines throughout Lourdes offer healthier snack options that are indicated with a “Fit” icon.

Clinical Dietitians: Lourdes continues to serve our community in both inpatient and outpatient settings with clinical dietitians that promote health and wellness in both prevention and management of chronic diseases. In addition to seeing patients in all primary care locations, our team provides nutrition education through their work with the Fresh Fruit and Vegetable Prescription Program. Lourdes dietitians also provide group classes in the community, have a presence at local health fairs and Medical Missions, and take advantage of media opportunities through TV and Radio appearances.

Cancer Services

Lourdes Regional Cancer Center provided outreach, information, and education for breast, cervical and colorectal cancer through the Cancer Services Program, community health fairs and events, and support groups. Lourdes associates continued a strong presence and participation in the American Cancer Society’s Relay for Life and Making Strides Against Breast Cancer programs. Initiatives taken by Lourdes to achieve the NYS

Lourdes continues to provide a monthly educational series to cancer survivors on topics that concern cancer survivorship, such as nutrition, fatigue, and psychosocial concerns. Lourdes again sponsored Shine a Light on Lung Cancer Awareness Night, an annual event to raise awareness, funds and hope, and to honor those we have lost.

And don’t forget to visit the Lourdes healing garden for prayer and reflection for cancer patients, visitors and staff.

Falls Prevention Community Outreach Programs

The need to prevent falls in the community is evident by the over 3,500 persons visiting Lourdes walk-ins or emergency room upon experiencing a fall in 2018. Ways in which Lourdes helps to prevent falls include:

Tai Chi for Arthritis:urriculum since 2015 and it continued throughout

2018. Over the course of the year, a total of 10 Tai Chi for Arthritis classes were held, along with aprerequisite 2-hour workshop on fall preventionprior to each Tai Chi class to increase fallprevention awareness and educate the community on ways to reduce the incidence of falls within the home and in the community. During the physical portions of the classes, a balance assessment was administered for each participant to identify those who may be at higher risk for falls. The Tai Chi for Arthritis workshops are meant to improve the quality of life for seniors, keeping them safe in their homes and independent longer. It reached over 500 participants in 2018, bringing its overall total since 2015 to 1,050 total participants.

“Stepping-On” Falls Prevention Workshop: In 2018, Lourdes continued offering the "Stepping On" curriculum. This is an evidence based seven-week workshop where participants learn exercises and strategies to help improve balance and prevent falls.

Lourdes at Home Physical Therapy: All PT staff recieved advanced training and certification around fall prevention over the last year to meet the

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In 2018,

The

naddition

growing needs of the community. Fall prevention education along with specific strengthening and balance activities have been incorporated in nearly all ambulatory patient visits to help decrease falls. Lourdes at Home participated in Broome County’s “National Fall Prevention Awareness Day” providing information to the community at the Oakdale Mall. Fall risk is assessed at every home care visit.

Lourdes Physical Therapy: has highly trained and skilled staff that provides comprehensive evaluation and treatment of balance and vestibular disorders, helping to prevent falls in the community. Person who may benefit from balance or vestibular treatment are those who experience balance deficits due to generalized weakness, light-headedness, vertigo with or without nausea, difficulty walking in visually busy environments or on uneven surfaces, post-joint replacement, post-fracture or sprains, post-stroke, neurologic diagnoses such as multiple sclerosis or Parkinson's disease, malnutrition, and medication side effects. Joint Academy patients are encouraged to attend Lourdes' pre-op education class where patients and family members learn about safety in the home, including: proper use of assitive devices and performing simple safety modifications to the home (i.e. installing railings, widening pathways, and removing throw rugs.

Primary Care: Falls prevention screenings are performed as part of primary care wellness visits required by the Centers for Medicaid and Medicare Services (CMS), and for patients identified by their provider to be at risk for falls.

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•

Retail Pharmacy and Patient Medication Management: Pharmacists discuss falls prevention with patients as part of their visit to the pharmacy. Whether filling a new prescription that has a fall risk to it or refilling other prescriptions, our pharmacists are aware of falls risk criteria and utilize that while communicating to patients about their prescription use. The Vestal Retail Pharmacy provides counseling for falls prevention in conjunction with the Tai Chi and Stepping-On programs.

Health Care That is Safe: Lourdes is committed to providing exceptional care to everyone we serve that is safe. By instituting a number of quality and process improvement initiatives, Lourdes will continue to impact the health status of the communities we serve.

Stroke Care and Prevention: High-quality stroke care remains a significant focus both locally and at the national level. Lourdes commitment to improving community health status around stroke care is evidenced by maintaining its New York State Department of Health Stroke Center designation.

Lourdes has maintained a Gold Plus award for six years in a row, from Get With The Guidelines, for exceptional care in the management of patients that present to Lourdes with symptoms of stroke. The award recognizes efficient processes, evidence-based care through a multi-disciplinary team approach, and quality outcomes.

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Electronic Medical Order for Life Sustaining Treatment (eMOLST) Project: eMOLST is a clinical process that emphasizes discussion of the patient’s end of life goals with clinicians. This web-based version includes a documentation system that guides end of life conversations with patients and clinicians that is approved by NYSDOH for both Do Not Resuscitate (DNR) and Do Not Intubate (DNI) orders.

NYSDOH eMOLST Goals: accessibility,improved quality assurance (by ensuringaccuracy of form completion), integrationof outcome measures, and trend reporting.

Lourdes' conversion to the eMOLST: The project is divided into 3 yearly phases.Implementation began in FY18.

Influenza Vaccinations: Lourdes adheres to the Universal Influenza Vaccination schedule annually to help protect the safety of all those in our care. Associate Health provided over 2,900 influenza vaccinations to associates and volunteers in 2018.

American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP): ACS NSQIP recognized Lourdes Hospital as one of 66 participating hospitals that have achieved meritorious outcomes for surgical patient care. As a participant in this program, Lourdes is required to track the outcomes of inpatient and outpatient surgical procedures and collect data that directs patient safety and the quality of surgical care improvements. The ACS NSQIP recognition program commends a select group of hospitals for achieving a composite meritorious outcome related to patient management in eight areas: mortality, unplanned intubation, ventilator greater than 48 hours, renal failure, cardiac incidents (cardiac arrest and heart attack), respiratory (pneumonia), surgical site infections, or urinary tract infection.

High Reliability Organization and Safety Event Review Team (SERT) Process: Lourdes participates in promoting a culture of safety through the reduction of harm by focusing on events through the event review process. The Safety Event Review Team (SERT) is a multidisciplinary team that meets weekly to review all safety event for discerning deviations from generally accepted performance standards following a thorough investigation that includes the known complication test, assigning the final event severity, and determining preventability for each event. The team is responsible for support and oversight of action plans following a root cause analysis. Ongoing education of associates, transparency of events discussed at daily safety huddles and increased attention to near miss events is part of our ongoing journey towards becoming a high reliability organization.

Blue Distinction Recognition: Excellus BlueCross BlueShield has recognized Lourdes with a Blue Distinction® Center+ for Maternity Care designation as part of the Blue Distinction Specialty Care program. Blue Distinction Centers are nationally designated hospitals that show expertise in delivering improved patient safety and better health outcomes, based on objective measures that were developed with input from the medical community.

Lourdes has been recognized as a Blue Distinction® Center+ for Bariatric Surgery as part of the Blue Distinction Specialty Care program. Blue Distinction Centers are nationally designated health care facilities that show expertise in delivering improved patient safety and better health outcomes, based on objective measures that were developed with input from the medical community.

To receive a Blue Distinction Center+ for Bariatric Surgery designation, a health care facility must demonstrate success in meeting patient safety measures as well as bariatric-specific quality measures, including complications and readmission rate for laparoscopic procedures in sleeve gastrectomy, gastric bypass and adjustable gastric band. A health care facility must also be nationally accredited at both the facility and bariatric program-specific levels, as well as demonstrated cost-efficiency compared to its peers.

Lourdes Hospital has been presented the Blue Distinction award for Knee and Hip Replacement by Blue Cross and Blue Shield. The designation is based on rigorous, evidence-based, objective selection criteria established with input from clinical physicians and organizations.

Blue Distinction Centers for Knee and Hip Replacement® demonstrate an expertise in quality care, resulting in better overall outcomes for patients, by meeting objective clinical measures developed with input from expert physicians and medical organizations.

Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®) Accreditation: Lourdes was re-accredited as a Comprehensive Center under the MBSAQIP, a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). As an accredited program, Lourdes has demonstrated that our center meets the needs of our patients by providing multidisciplinary, high-quality, patient-centered care. This means our patients experience a program distinguished for efficiency and safety.

Medical Physicist: A credentialed medical physicist works with Lourdes to inspect dental x-ray units, acting as a radiation inspector for New York State. He inspects the dental units at Lourdes Center for Oral Health and the mobile van pro bono to help keep costs down for our patients.

Rapid Quality Reporting System (RQRS): Lourdes Regional Cancer Center participates in the rapid quality reporting system (RQRS) through the Commission on Cancer in an effort to improve the quality of care to our patients through early reporting on certain quality metrics identified by the Commission on Cancer.

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More than 90 years ago, the Daughters of Charity opened a small 25-bed hospital on Riverside Drive. Since that time, Our Lady of Lourdes Memorial Hospital has been a cornerstone of our community, offering resources that have made a difference.

Lourdes is part of Ascension, the largest, Catholic, nonprofit health system in the nation providing care across 21 states and the District of Columbia. Our Mission guides everything we do and we are driven by compassion and dedication to serve those most in need.

Lourdes is more than an inpatient acute care hospital. We are an outpatient surgery center, as well as a Regional Cancer Center. We provide Palliative Care, Hospice Care and home health care. Our Birthing Center serves new families and growing families. We provide a wide array of specialty care including orthopedics, podiatry, urology, cardiology and gastroenterology. Reaching beyond the boundaries of our main campus, Lourdes has established a network of primary and specialty care physician offices at convenient sites throughout the region. The Mobile Mammography vans and Mobile Dental van deliver women’s health and mammography and dental care services out into the community, making health care accessible to areas where transportation can be a challenge.

The Southern Tier has changed much over the past 90 years and Lourdes has adapted with those changes to provide up to date diagnostics and treatments, advanced technologies and care that meets the needs of the changing consumer, but one thing remains constant: the commitment and Mission of caring found here each and every day.

ABOUT LOURDES

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2018 community service report - lourdes.com · health care by increasing access to health care...

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